PDGM Operations: Clinical

PDGM Operations: Clinical 

This course presents how home health agencies and their specific areas of clinical operations will be impacted under the Patient-Driven Groupings Model (PDGM). It explores how agencies can adapt operations for success under PDGM by recognizing the impact on Clinical Operations, Intake, Diagnosis coding, case and episodic management, and education. It examines what successful agencies will look like under PDGM and provides key metrics to begin monitoring now and when PDGM goes into effect. 


Hours: 0.50


Certificates provided by accrediting body (2 Match)

American Nurses Credentialing Center


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 0.50 contact hours for participating in this course.

Texas Health and Human Services Commission


Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Licensed and Certified Home Health. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 0.50 contact hours.

Course Details

Hours: 0.5
Type: Online Course
Content Expiration Date: 10/31/2021
Learning Objectives:
Identify at least three agency operations that will change under PDGM.
Describe at least three clinical operations changes as they relate to episode management.

Section 1: Introduction

About This Course

Learning Objectives

Section 2: Clinical Operations


Episode (Case) Management

Case Conferencing


Key Metrics to Monitor



Section 3: Preparation and Checklist



Estimated Revenue

Key Indicators




Document Tracking

Industry Resources



Section 4: Conclusion


Course Contributors




Instructor: Nick Seabrook
Nick Seabrook is a Managing Principal and Founding Partner of BlackTree Healthcare Consulting where he develops and implements the company’s strategic goals and initiatives. A Villanova University alumnus, Mr. Seabrook’s personal and professional life have been defined by passion. Whether cheering on the Wildcats, volunteering for a cause with his family, or advocating for home care and hospice agencies alongside industry leaders in Washington, he is consummately involved with his community. Notably, he is a Member of NJ Homecare Association Billing Managers Group and an Advisory Board Member of HHFMA, where he also serves as Chair for Young Professionals Committee and Chair for Payment and Reimbursement Committee. He has presented at numerous state and national conferences. Mr. Seabrook’s participation in these and many other industry forums and events over the past 19 years have garnered recognition as a leading authority on solutions to the latest operational, clinical, and regulatory challenges. BlackTree Healthcare Consulting’s mission is to be the leader in providing revenue cycle, outsourcing, and clinical consulting services for the home health, hospice, and skilled nursing industries.   Disclosure: Nick Seabrook has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Jennifer W. Burks, M.S.N., R.N.

Jennifer W. Burks, M.S.N., R.N. has over 25 years of clinical and teaching experience, and her areas of expertise are critical care and home health. She earned her Bachelor of Science in Nursing from The University of Virginia in 1993 and her Master of Science in Nursing from The University of North Carolina, Greensboro in 1996. Her professional practice in education is guided by a philosophy borrowed from Florence Nightingale's Notes on Nursing, "I do not pretend to teach her how, I ask her to teach herself, and for this purpose, I venture to give her some hints." 

Disclosure: Jennifer W. Burks, M.S.N., R.N. has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Administrators; Nurses; in the following settings: Home Health.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.